Austin, Michael David
Austin, Michael David is an individual health care provider with primary practice located at 1000 E 5Th St , Tyler TX 75701-3346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Austin, Michael David can be contacted via phone (903) 594-2450.Contact Information
Primary practice address
1000 E 5Th St
Tyler TX 75701-3346
Phone: (903) 594-2450
Fax: (903) 939-0610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K4857 | Texas |
Profile Details
| NPI number | 1134199284 |
|---|---|
| LBN Legal business name | Austin, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Dec 21st, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134199284 | NPPES |
| Texas | Other | 8U8521 | BLUE CROSS |
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